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Couples' groups for parents of preschoolers: ten-year outcomes of a randomized trial
Carolyn Pape Cowan1, Philip A Cowan, Jason Barry
1Department of Psychology, University of California, Berkeley, CA 94720-1690, USA.
Insights
This 10-year study shows that preventive interventions for couples before kindergarten entry improve marital satisfaction and child behavior. Focusing on couple relationships yielded long-term benefits for family well-being.
Area of Science:
- Family Studies
- Developmental Psychology
- Intervention Science
Background:
- Preventive interventions for families are crucial during critical developmental transitions.
- Early childhood transitions, like starting kindergarten, impact family dynamics and child adjustment.
- Long-term effects of couples-focused interventions on family well-being are not fully understood.
Purpose of the Study:
- To examine the 10-year follow-up effects of two variations of a couples' group preventive intervention.
- To assess the long-term impact on couple interaction, marital satisfaction, and child adaptation.
- To determine the lasting benefits of interventions initiated before a child's kindergarten transition.
Main Methods:
- 100 couples were randomized into a low-dose control or one of two 16-week couples' group interventions (relationship-focused or parenting-focused).
- Growth curve analyses were used to track outcomes from kindergarten transition to high school (10 years post-intervention).
- Outcomes included observed couple interaction, parent marital satisfaction, and child adaptation (hyperactivity, aggression).
Main Results:
- Six-year positive effects on observed couple interaction were found.
- Ten-year positive effects on parents' marital satisfaction were observed.
- Long-term positive effects on children's adaptation, specifically reduced hyperactivity and aggression, were evident.
Conclusions:
- Preventive interventions for couples offered before kindergarten entry have sustained positive effects on marital satisfaction and child behavior up to 10 years later.
- A focus on couple relationship issues within preventive interventions appears particularly beneficial for long-term family functioning.
- Findings support integrating couples-focused components into family policy and clinical practice to enhance child school adaptation and overall family well-being.
Abstract:
This paper reports the results of a 10-year follow-up of two variations of a couples' group preventive intervention offered to couples in the year before their oldest child made the transition to kindergarten. One hundred couples were randomly assigned to (1) a low-dose control condition, (2) a couples' group meeting for 16 weeks that focused more on couple relationship issues among other family topics, or (3) a couples' group meeting for 16 weeks that focused more on parenting issues among other family issues, with an identical curriculum to condition (2). Earlier papers reported that both variations of the intervention produced positive results on parent-child relationships and on the children's adaptation to kindergarten and first grade, and that the groups emphasizing couple relationships also had additional positive effects on couple interaction quality. The present paper uses growth curve analyses to examine intervention effects extending from the children's transition to kindergarten to the transition to high school-10 years after the couples groups ended. There were 6-year positive effects of the pre-kindergarten interventions on observed couple interaction and 10-year positive effects on both parents' marital satisfaction and the children's adaptation (hyperactivity and aggression). Discussion includes a focus on the implications of these results for family policy, clinical practice, and the need to include a couples focus in preventive interventions to strengthen family relationships and enhance children's adaptation to school.
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